Warning: high doses of vitamin D isn't necessary and might possibly be harmful. It's time to rethink the levels. Not getting enough vitamin D? No time or afraid to get too much sun exposure? Here's some evolving science or evidence of what you should or should not do:
Was newscaster, Tim Russert’s sudden death at age 58 from a heart attack preventable? After all, he was being monitored as he was being treated for asymptomatic coronary artery disease. Unfortunately, his doctors did not realize the extent of it. Indeed, Russert had performed well on a stress test a few months prior to his demise; he was exercising and was careful about what he was eating.
9 of 10 persons who have pre-diabetes are not aware it is causing damage. Thus, the "Centers for Disease Control and Prevention and the American Medical Association are calling on [physicians to increase] screening efforts and raise awareness about the risk factors for developing a full onset of the disease.” Congressional Quarterly (3/13/2015, Zanona, Subscription Publication)
Much of the work on health disparities and inequities in access focuses on comparisons between the insured and those without coverage; the uninsured come out wanting. [Surprise] “Uninsurance is associated with mortality.” Uninsured persons have less access to services and suffer worse health outcomes than those insured. Breast Cancer patients suffer with a 30-50% higher mortality rate Accident victims have a 37% greater mortality rate (1)
The editorial, "If Reform Fails," says the status quo of health care reform is immoral, impractical and unsustainable. What did we expect when the House approved "Health Overhaul, Sending Landmark Bill to Obama"? Nothing!
What new docs need to know and never learned in medical or osteopathic school "10 Things Medical School Won't Tell You" (WSJ, Pub. Oct 14, 2012 by Jonnelle Marte): Verbal and psychological abuse is commonplace and a rite of passage. Increasingly, an approach to stem errors is "holding all health care providers — including nurse practitioners, physician assistants and anesthesiologists — accountable for a group’s mistakes and encouraging them to speak up when something seems amiss."
The cost of health care is already dear and rising exponentially while its "value" or the return on investment diminishes. What can be done?
Welcome to a refreshing, frank discussion about 'managing' CARE (read: health care reform). A fellow Medical Director and I wrote in 1994:
In poorly controlled asthma or COPD in children or adults, what works best? Ans: Long-acting beta agonists (the ones with the warning*) are more effective than either monteleukast (Singulair) or doubled dosing inhaled corticosteroids.
About 40% of cancers could be prevented were people to stop smoking and overeating, limit alcohol intake, exercise regularly and get vaccines that target cancer-causing infections (e.g., HPV, Hepatitis B). For more information about this, pleaase explore: the International Union Against Cancer's, "UICC Population Survey of Cancer-related Beliefs and Behaviours" (PDF), the World Cancer Campaign, “Today’s children, tomorrow’s world” or contact email@example.com directly.